Guidelines and Commentaries arrow_drop_down

The Renal Association has produced guidance on best practice in the management of patients with kidney disease since 1995. The current editions of the Guidelines can be found in the table below, along with commentaries on other relevant guidelines.

GuidelineAuthors Publication Date Review Date
Renal Replacement Therapy for Critically Unwell Adult Patients: Guidelines for best practice and service resilience during COVID-19Dr Jon Murray, Dr Ganesh Suntharalingam, Professor Paul Cockwell and 51 othersOctober 2020November 2020
Treatment of acute hyperkalaemia in adults
Hyperkalaemia algorithm - community
Hyperkalaemia algorithm - hospital
Hyperkalaemia algorithm - cardiac arrest
Dr Annette Alfonzo, Dr Alexander Harrison, Dr Richard Baines, Dr Ann Chu, Mr Simon Mann, Mr Murdoch MacRury
July 20202025
Standardisation of immunosuppressive and anti-infective drug regimens in UK Paediatric Renal transplantation: The Harmonisation programmeJan Dudley, Stephen Marks, Martin Christian, Alice Andrews, Nicola Andrews, Julie Baker, Sheila Boyle, Mairead Convery, Fiona Gamston, Martin Garcia, Shuman Haq, Shivram Hegde, Richard Holt, Helen Jones, Shakeeb Khan, Jennifer McCaughan, David Milford, Charlie Pickles, Ben Reynolds, Vijaya Sathyanarayana, Jelena Stojanovic, Yincent Tse, Dean Wallace, Grainne Walsh, Nick Ware, Alun Williams, Pallavi YadavMay 20202025
Commentary on the NICE Guideline on RRT and conservative managementKunaal Kharbanda, Osasuyi Iyasere, Fergus Caskey, Matko Marlais, Sandip Mitra
March 20202025
Commentary on the NICE COVID-19 rapid guideline: dialysis service deliveryMichael Robson, James Burton, Sharlene Greenwood, Karen Jenkins, Maarten TaalMarch 2020TBC
Pregnancy and Renal DiseaseKate Wiles, Lucy Chappell, Katherine Clark, Louise Elman, Matt Hall, Liz Lightstone, Germin Mohamed, Durba Mukherjee, Catherine Nelson-Piercy, Philip Webster, Rebecca Whybrow & Kate BramhamSeptember 20192024
Acute Kidney Injury (AKI)Suren Kanagasundaram, Caroline Ashley, Sheetal Bhojani, Alma Caldwell, Timothy Ellam, Amrit Kaur, David Milford, Chris Mulgrew, Marlies OstermannAugust 20192024
HaemodialysisDamien Ashby, Natalie Borman, James Burton, Richard Corbett, Andrew Davenport, Ken Farrington, Katey Flowers, James Fotheringham, Andrea Fox, Gail Franklin, Claire Gardiner, Martin Gerrish, Sharlene Greenwood, Daljit Hothi, Abdul Khares, Pelagia Koufaki, Jeremy Levy, Elizabeth Lindley, Jamie Macdonald, Bruno Mafrici, Sandip Mitra, Andrew Mooney, James Tattersall, Kay Tyerman, Enric Villar & Marin WilkieJuly
2019
2024
Management of Blood Borne Viruses within the Haemodialysis UnitElizabeth Garthwaite, Veena Reddy, Sam Douthwaite, Simon Lines, Kay Tyerman & James Eccles
June 20192024
Undernutrition in Chronic Kidney DiseaseMark Wright, Elizabeth Southcott, Helen MacLaughlin, Stuart Wineberg

Endorsed* by the Renal Nutrition Group
June 20192024
Monitoring children and young people with, or at risk of developing Autosomal Dominant Polycystic Kidney Disease (ADPKD)
Jan Dudley, Paul Winyard, Matko Marlais, Oliver Cuthell, Tess Harris, Jiehan Chong, John Sayer,
Daniel P Gale, Lucy Moore, Kay Turner, Sarah Burrows & Richard Sandford
November 20182023
Commentary on the KDIGO Guideline on the Diagnosis, Evaluation, Prevention and Treatment of CKD-MBDJames Burton, David Goldsmith, Nicki Ruddock, Rukshana Shroff & Mandy WanJune
2018
2023
Living donor kidney transplantationPeter Andrews & Lisa Burnapp

Endorsed by the British Transplantation Society
March
2018
2023
Anaemia of chronic kidney diseaseAshraf Mikhail, Christopher Brown, Jennifer Ann Williams, Vinod Mathrani, Rajesh Shrivastava, Jonathan Evans, Hayleigh Isaac, Sunil Bhandari & Owain Brooks

Updated February 2020
June
2017
2022
Peritoneal Dialysis in Adults and ChildrenGraham Woodrow, Stanley Fan, Christopher Reid, Jeannette Denning & Andrew Neil PyrahJune
2017
2022
Post-Operative Care in the Kidney Transplant RecipientRichard Baker, Patrick Mark, Rajan Patel, Kate Stevens & Nicholas Palmer

Endorsed by the British Transplantation Society
February
2017
2022
Commentary on the NICE Guideline on Tolvaptan for treating autosomal dominant polycystic kidney diseaseAlbet CM Ong, Caroline Ashley, Tess Harris, Richard Sandford, John A Sayer, Roslyn J Simms & Grahame WoodJune
2016
2023
Water Treatment Facilities, Dialysis Water and Dialysis Fluid Quality for Haemodialysis and Related Therapies Nicholas Hoenich, Robert Mactier, Ian Morgan, Gerard Boyle, David Croft, Paul Rylance, Clive Thompson

Endorsed by the Association of Renal Technologists
January
2016
2021
Perioperative management of people with inherited salt-wasting alkaloses (Gitelman’s syndrome and Bartter’s syndrome) undergoing non-urgent surgical procedure Hugh Gallagher, Jasmeet Soar & Charles Tomson

Endorsed by the Royal College of Anaesthetists
March
2015
2020
Vascular Access for HaemodialysisMick Kumwenda, Sandip Mitra
& Claire Reid
January
2015
2020
Planning, initiation & withdrawal of Renal Replacement TherapyGraham Warwick, Andrew Mooney, Lynne Russon & Rebecca HardyJanuary
2014
2019

Further guidelines and commentaries are currently being written. Please see the Recent Activity page for more information.

*caveat detailed on page 2 of the Undernutrition in Chronic Kidney Disease guideline.

Accreditation

The RA Clinical Practice Guidelines are not funded by any external organisation, commercial company or charity. Several of these guidelines have also been published in BMC Nephrology.

The guidelines have been accredited by the National Institute for Health and Care Excellence (NICE). The accreditation is valid until January 2022. This ensures that the Guidelines themselves will automatically be NICE accredited, providing they follow the processes laid out in the Clinical Practice Guideline Development Manual.

Accreditation helps health and social care professionals identify the most robustly produced guidance available, enabling them to deliver high quality care. More information on accreditation can be viewed at http://www.nice.org.uk/accreditation

The Renal Association’s Clinical Practice Guideline (CPG) committee have produced a Strategy Document to plan their work through until 2020.